Comparative study between endoscopy and radiology in acute upper gastrointestinal haemorrhage

Area of Science:

• Gastroenterology
• Emergency Medicine
• Surgical Diagnostics

Background:

• Acute upper gastrointestinal hemorrhage presents a significant clinical challenge.
• Accurate and timely diagnosis is crucial for effective patient management.
• Traditional diagnostic methods may lead to delays and suboptimal outcomes.

Purpose of the Study:

• To evaluate the impact of emergency endoscopy on patient outcomes.
• To compare diagnostic accuracy between endoscopy and control groups.
• To assess the effect on mortality and hospital stay.

Main Methods:

• Comparative study of 158 patients with acute upper gastrointestinal hemorrhage.
• Group 1: 53 patients underwent emergency endoscopy.
• Group 2: 105 patients served as a control group.

Main Results:

• Endoscopy identified the bleeding source in 96% of cases versus 74% in controls.
• Mortality was significantly lower in the endoscopy group (3/53) compared to controls (16/105).
• Endoscopy led to correct preoperative diagnoses and reduced surgical delays.

Conclusions:

• Emergency endoscopy is a highly effective tool for diagnosing upper gastrointestinal bleeding.
• Its implementation can decrease mortality rates and improve patient management strategies.
• Patients managed with endoscopy experienced shorter hospitalizations when surgery was not required.